| NPI | 1659791507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T9668) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TX T9668) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 271477) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T9668) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2023-03-20 |